2020, Number 3
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Rev Salud Publica Nutr 2020; 19 (3)
Association between concentrations of ferritin, CRP, sTFR and HbA1c in subjects with and without DM2
Márquez IAA, González PAM
Language: Spanish
References: 32
Page: 8-18
PDF size: 371.34 Kb.
ABSTRACT
Introduction: An inflammatory component has been shown to exist in the pathogenesis of type 2 diabetes (DM2) and has
been associated with elevations in serum ferritin levels.
Objective: to evaluate the association between serum ferritin
concentrations, CRP, soluble transferrin receptors (sTfR) and glycosylated hemoglobin (HbA1c) in subjects with and without
type 2 diabetes.
Material and method: Secondary study, derived from ENSANUT 2006. Concentrations of ferritin, sTFR and
CRP (n=4578) were analyzed, HbA1c and ferritin (n=287) were associated, and variables such as, body mass index (BMI), age,
sex, current treatment for DM2, smoking and alcohol consumption. Statistical analysis was performed with multiple logistic
regression models and multiple linear regression models. An association with a value of p <0.05 was considered significant
and the direction and magnitude of the association.
Results: The possibility of having DM2 was associated with serum ferritin
and CRP concentrations (p‹0.02). Ferritin was inversely associated with sTFR (β -0.91, p‹0.001). HbA1c was not associated
with ferritin.
Conclusions: In Mexicans with DM2 serum ferritin is higher than in subjects with diabetes and its variability is
explained by indicators of iron status and inflammation.
REFERENCES
Akter, S., Nanri, A., Kuwahara, K., Matsushita, Y., Nakagawa, T., & Konishi, M. et al. (2017). Circulating ferritin concentrations and risk of type 2 diabetes in Japanese individuals. Journal of Diabetes Investigation, 8(4), 462-470. doi: 10.1111/jdi.12617
Canturk, Z., Çetinarslan, B., Tarkun, İ., & Zafer Canturk, N. (2003). Serum Ferritin Levels in Poorly‐ and Well‐Controlled Diabetes Mellitus. Endocrine Research, 29(3), 299-306. doi: 10.1081/erc-120025037
Carrillo E., Peña P., Zepeda M. (2015). Ferritina y síndrome hiperferritinémico. Su impacto en el enfermo grave; conceptos actuales. Med Crit. 2015;29(3),157-166.
Dehghan A., Hoek M., Sijbrands E., Stijnen T., Witteman J., & Hofman A. (2007). Risk of type 2 diabetes attributable to c-reactive protein and other risk factors. Diabetes Care, 30:2695-2699.
Doi Y., Kiyohara Y., Kubo M., Ninomiya T., Wakugwa Y., & Yonemoto K. (2005). Elevated c-reactive protein is a predictor of the development of diabetes in a general japanese population. Diabetes Care, 28:2497-2500. doi: 10.2337/diacare.28.10.2497
Eshed, I., Elis, A., & Lishner, M. (2001). Plasma Ferritin and Type 2 Diabetes Mellitus: A Critical Review. Endocrine Research, 27(1-2), 91-97. doi: 10.1081/erc-100107172
Fernandez-Real, J., Lopez-Bermejo, A., & Ricart, W. (2002). Crosstalk Between Iron Metabolism and Diabetes. Diabetes, 51(8), 2348-2354. doi: 10.2337/diabetes.51.8.2348
Ford, E., & Cogswell, M. (1999). Diabetes and serum ferritin concentration among U.S. adults. Diabetes Care, 22(12), 1978-1983. doi: 10.2337/diacare.22.12.1978
Forouhi, N., Harding, A., Allison, M., Sandhu, M., Welch, A., & Luben, R. et al. (2007). Elevated serum ferritin levels predict new-onset type 2 diabetes: results from the EPIC-Norfolk prospective study. Diabetologia, 50(5), 949-956. doi: 10.1007/s00125-007-0604-5
Fumeron F., P’ean F., Pharmd F., & Balkau B. (2006). Ferritin and Transferrin Are Both Predictive of the Onset of Hyperglycemia in Men and Women Over 3 Years. Diabetes Care, 29:2090–2094.
Hu F., Meigs J., Li T., Rifai N., & Manson J. (2004). Inflammatory markers and risk of developing type 2 diabetes in women. Diabetes, 53:693-700. doi: 10.2337/diabetes.53.3.693
Jehn, M. L., Guallar, E., Clark, J. M., Couper, D., Duncan, B. B., Ballantyne, C. M., et al. (2005). A prospective study of plasma ferritin level and incident diabetes: the Atherosclerosis Risk in Communities (ARIC) Study. Am. J. Epidemiol, 165(9): 1047–54.
Jiang, R. (2004). Body Iron Stores in Relation to Risk of Type 2 Diabetes in Apparently Healthy Women. JAMA, 291(6), 711. doi: 10.1001/jama.291.6.711
Ma, H., Lin, H., Hu, Y., Li, X., He, W., & Jin, X. et al. (2018). Serum ferritin levels are associated with insulin resistance in Chinese men and postmenopausal women: The Shanghai Changfeng study. British Journal of Nutrition, 120(8), 863- 871. doi: 10.1017/s0007114518002167
O’Rourke, R. (2009). Molecular Mechanisms of Obesity and Diabetes: At the Intersection of Weight Regulation, Inflammation, and Glucose Homeostasis. World Journal of Surgery, 33(10), 2007-2013. doi: 10.1007/s00268-009-0067-6
Pickup, J. (2004). Inflammation and Activated Innate Immunity in the Pathogenesis of Type 2 Diabetes. Diabetes Care, 27(3), 813-823. doi: 10.2337/diacare.27.3.813
Pietrangelo A. (2004). Hereditary Hemochromatosis- A new look at an old disease. N Engl J Med, 350:2383-2397. doi: 10.1056/NEJMra031573
Pietrangelo A. (2010). Hereditay Hemochromatosis: Pathogenesis, Diagnosis, and treatment. Gastroenterology,139(2):393-408,408.e12. doi:10.1053/j.gastro.2010.06.013.
Pradham A., Manson J., Rifai N., Buring J., & Ridker P. (2001). C-reactive protein, Interleukin 6 and risk developing type 2 diabetes mellitus. JAMA, 286:327-334. doi: 10.1001/jama.286.3.327
Rajpathak, S. N., Wylie-Rosett, J., Gunter, M. J., Negassa, A., Kabat, G. C., Rohan, T. E., et al. (2009). Biomarkers of body iron stores and risk of developing type 2 diabetes. Diab Obes. Metab, 11(5), 472–9.
Rojas-Martínez, R., Basto-Abreu, A., Aguilar- Salinas, C., Zárate-Rojas, E., Villalpando, S., & Barrientos-Gutiérrez, T. (2018). Prevalencia de diabetes por diagnóstico médico previo en México. Salud Pública de México, 60(3, mayjun), 224. doi: 10.21149/8566
Salonen J., Tuomainen T., Nyyssönen K., Lakka H., & Punnonen K. (1998). Relation between iron stores and non-insulin dependent diabetes in men: case-control study. BMJ, 317(7160): 727– 730.
Shamah-Levy T., Villalpando-Hernández S., & Rivera-Dommarco JA. (2007). Resultados de Nutrición de la ENSANUT 2006. Cuernavaca, México: Instituto Nacional de Salud Pública.
Shamah- Levy T., Villalpando- Hernández S., &Rivera-Dommarco J. (2006). Manual de Procedimientos para Proyectos de Nutrición. Cuernavaca, México. Instituto Nacional de Salud Pública.
Sharifi F., & Sazandeh S. (2004). Serum ferritin in type 2 diabetes mellitus and its relationship with HbA1c. Acta Med Iranica, 42(2): 142-145.
Son N. (2019). Influence of ferritin levels and inflammatory markers on HbA1c in the Type 2 Diabetes mellitus patients. Pak J Med Sci, 35(4), 1030-1035. doi: https://doi.org/10.12669/pjms.35.4.1003
Sun, L., Zong, G., Pan, A., Ye, X., Li, H., Yu, Z., et al. (2013). Elevated plasma ferritin is associated with increased incidence of type 2 diabetes in middle-aged and elderly Chinese adults. J. Nutr, 143(9), 1459–65.
Swaminathan, S., Fonseca, V., Alam, M., & Shah, S. (2007). The Role of Iron in Diabetes and Its Complications. Diabetes Care, 30(7), 1926- 1933. doi: 10.2337/dc06-2625
Twetz NW (1999). Textbook of Clinical Chemistry (pp. 794-795). Philadelphia: Saunders.
Van den Oever, I., Raterman, H., Nurmohamed, M., & Simsek, S. (2010). Endothelial Dysfunction, Inflammation, and Apoptosis in Diabetes Mellitus. Mediators of Inflammation, 2010, 1-15. doi: 10.1155/2010/792393
Villalpando S., Rojas R., Shaman-Levy T., Avila M., Gaona B., De la Cruz V., Rebollar R., & Hernandez L. (2010). Prevalence and distribution of type 2 Diabetes mellitus in Mexican adult population. A probabilistic survey. Salud Publ Mex, 52(1): S19-S26.
World Health Organization. Obesity: Preventing and managing the Global Epidemic. WHO technical Report Series 2000;894. [consultado 23/01/20]. Disponible en: https://www.who.int/nutrition/publications/obesi ty/WHO_TRS_894/en/